| NPI | 1417526641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 5192) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: WI 857723) |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2024-08-30 |